Organization Active NPI

Sabr RTH Facility LLC

  • Mental Illness Community Based Residential Treatment Facility
  • Gresham, OR
National Provider Identifier
1033087630
Registry record updated Oct 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
Legal business name
SABR RTH FACILITY LLC
Practice address
1875 SW Eastwood Ave
Gresham, OR 97080-9784
Phone
(206) 519-1092
NPI assigned
Oct 27, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Semira Osman, BACHELORNPI 1548131493
Title
Program Administrator
Phone
(206) 519-1092

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X Primary

Addresses

Primary practice location

1875 SW Eastwood Ave
Gresham, OR 97080-9784

Mailing address

2602 SW Phyllis Dr
Gresham, OR 97080-6319
Phone (206) 519-1092

Other practice location 1

3407 SE 120th Ave
Portland, OR 97266-1600
Phone (206) 519-1092

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1761523200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761523200000",
    "number": "1033087630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2602 SW PHYLLIS DR",
            "city": "GRESHAM",
            "state": "OR",
            "postal_code": "970806319",
            "telephone_number": "206-519-1092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1875 SW EASTWOOD AVE",
            "city": "GRESHAM",
            "state": "OR",
            "postal_code": "970809784",
            "telephone_number": "206-519-1092"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3407 SE 120th Ave",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972661600",
            "country_code": "US",
            "telephone_number": "206-519-1092",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SABR RTH FACILITY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-27",
        "last_updated": "2025-10-27",
        "certification_date": "2025-10-25",
        "status": "A",
        "authorized_official_last_name": "OSMAN",
        "authorized_official_first_name": "SEMIRA",
        "authorized_official_title_or_position": "PROGRAM ADMINISTRATOR",
        "authorized_official_telephone_number": "206-519-1092",
        "authorized_official_credential": "BACHELOR"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gresham, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.